Role of Syndromic Treatment as a Cost-effective Approach for Vaginitis at a Tertiary Care Hospital
OBJECTIVE: To evaluate the clinical characteristics of pathological vaginal discharge & to assess the response of syndromic treatment. METHODOLOGY: This was a cross-sectional observational study. The place of study was Creek General hospital & United Medical and Dental College. The study...
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| Format: | Article |
| Language: | English |
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Liaquat University of Medical and Health Sciences
2021-12-01
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| Series: | JLUMHS |
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| Online Access: | https://www.lumhs.edu.pk/jlumhs/Vol20No05/02.pdf |
| _version_ | 1797829015334027264 |
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| author | Kaweeta Kumari |
| author_facet | Kaweeta Kumari |
| author_sort | Kaweeta Kumari |
| collection | DOAJ |
| description | OBJECTIVE: To evaluate the clinical characteristics of pathological vaginal discharge & to assess the response of syndromic treatment.
METHODOLOGY: This was a cross-sectional observational study. The place of study was Creek General hospital & United Medical and Dental College. The study period was from September 2017 till December 2018. The sample size was150, this included both pregnant & nonpregnant females with vaginal discharge. Patients with blood-stained vaginal discharge/polyps were excluded. The sampling technique was simple and convenient. After taking informed consent, a proforma was filled which included history and examination details on vaginal discharge. Based on the
type of discharge, treatment was prescribed without HVS which was cost and time-effective. Patients were followed up at 4 and 6 weeks to evaluate response.
RESULTS: Out of 150 patients, 128 (85.3%) were non pregnant& 22 females (14.7%) were pregnant. Maximum patients 25(16.7%) were 28 years. The color of vaginal discharge was greyish white in (32.0 %), curdy white in 56 (37.3%) followed by yellow-green in (13.3%). Positive culture n High vaginal swab was seen in 55(36.7%) with Candida Albicans in 32 (21.3%) while Gardeneralla vaginalis was seen in 8(5.3%)
patients. Negative culture reports were obtained in 95 patients (63.3%). Statistical analysis was done by SPSS 21.
CONCLUSION: This research suggests that syndromic management may be helpful as a first-line treatment for vaginal discharge especially in cases where facilities for high vaginal swabs are not available as this needs extensive lab equipment and setup. The patient's response was assessed. |
| first_indexed | 2024-04-09T13:13:37Z |
| format | Article |
| id | doaj.art-8e54ed0e458a486b9d51b1d61c211425 |
| institution | Directory Open Access Journal |
| issn | 1729-0341 2309-8627 |
| language | English |
| last_indexed | 2024-04-09T13:13:37Z |
| publishDate | 2021-12-01 |
| publisher | Liaquat University of Medical and Health Sciences |
| record_format | Article |
| series | JLUMHS |
| spelling | doaj.art-8e54ed0e458a486b9d51b1d61c2114252023-05-12T05:35:08ZengLiaquat University of Medical and Health SciencesJLUMHS1729-03412309-86272021-12-012005294299doi:10.22442/jlumhs.2021.00879Role of Syndromic Treatment as a Cost-effective Approach for Vaginitis at a Tertiary Care Hospital Kaweeta Kumari0United Medical & Dental College Creek General Hospital Ibrahim Hyderi, Korangi Karachi, Sindh-PakistanOBJECTIVE: To evaluate the clinical characteristics of pathological vaginal discharge & to assess the response of syndromic treatment. METHODOLOGY: This was a cross-sectional observational study. The place of study was Creek General hospital & United Medical and Dental College. The study period was from September 2017 till December 2018. The sample size was150, this included both pregnant & nonpregnant females with vaginal discharge. Patients with blood-stained vaginal discharge/polyps were excluded. The sampling technique was simple and convenient. After taking informed consent, a proforma was filled which included history and examination details on vaginal discharge. Based on the type of discharge, treatment was prescribed without HVS which was cost and time-effective. Patients were followed up at 4 and 6 weeks to evaluate response. RESULTS: Out of 150 patients, 128 (85.3%) were non pregnant& 22 females (14.7%) were pregnant. Maximum patients 25(16.7%) were 28 years. The color of vaginal discharge was greyish white in (32.0 %), curdy white in 56 (37.3%) followed by yellow-green in (13.3%). Positive culture n High vaginal swab was seen in 55(36.7%) with Candida Albicans in 32 (21.3%) while Gardeneralla vaginalis was seen in 8(5.3%) patients. Negative culture reports were obtained in 95 patients (63.3%). Statistical analysis was done by SPSS 21. CONCLUSION: This research suggests that syndromic management may be helpful as a first-line treatment for vaginal discharge especially in cases where facilities for high vaginal swabs are not available as this needs extensive lab equipment and setup. The patient's response was assessed. https://www.lumhs.edu.pk/jlumhs/Vol20No05/02.pdfvaginal dischargehigh vaginal swabsensitivityclinicalsyndromictreatmentculture. |
| spellingShingle | Kaweeta Kumari Role of Syndromic Treatment as a Cost-effective Approach for Vaginitis at a Tertiary Care Hospital JLUMHS vaginal discharge high vaginal swab sensitivity clinical syndromic treatment culture. |
| title | Role of Syndromic Treatment as a Cost-effective Approach for Vaginitis at a Tertiary Care Hospital |
| title_full | Role of Syndromic Treatment as a Cost-effective Approach for Vaginitis at a Tertiary Care Hospital |
| title_fullStr | Role of Syndromic Treatment as a Cost-effective Approach for Vaginitis at a Tertiary Care Hospital |
| title_full_unstemmed | Role of Syndromic Treatment as a Cost-effective Approach for Vaginitis at a Tertiary Care Hospital |
| title_short | Role of Syndromic Treatment as a Cost-effective Approach for Vaginitis at a Tertiary Care Hospital |
| title_sort | role of syndromic treatment as a cost effective approach for vaginitis at a tertiary care hospital |
| topic | vaginal discharge high vaginal swab sensitivity clinical syndromic treatment culture. |
| url | https://www.lumhs.edu.pk/jlumhs/Vol20No05/02.pdf |
| work_keys_str_mv | AT kaweetakumari roleofsyndromictreatmentasacosteffectiveapproachforvaginitisatatertiarycarehospital |